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Medi-Cal Provider Directory Sonoma County CONTACT US (800) 863-4155 | http://www.partnershiphp.org Revised Date: May 25, 2018 08-85215_CPL_001 04/18/2013

Sonoma County Medi-Cal Provider Directorypartnershiphp.org/Providers/Medi-Cal/Documents/Provider Directory... · Medi-Cal Provider Directory Sonoma County Revised Date: March 23,

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  • Medi-Cal Provider DirectorySonoma County

    CONTACT US

    (800) 863-4155 | http://www.partnershiphp.org

    Revised Date: May 25, 2018

    08-85215_CPL_001 04/18/2013

    http://www.partnershiphp.org

  • Page i of iii

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    TABLE OF CONTENTS

    How to use this list: ....................................................................................................................................................................1Para usar esta lista: ...................................................................................................................................................................2Glossary of Terms ......................................................................................................................................................................3Glosario de trminos .................................................................................................................................................................5Nondiscrimination Notice ...........................................................................................................................................................7Aviso de no discriminacin ........................................................................................................................................................9Grievances ................................................................................................................................................................................8Quejas .....................................................................................................................................................................................10Language Assistance .............................................................................................................................................................. 11Asistencia de idiomas .............................................................................................................................................................. 11Accessibility Standards ............................................................................................................................................................14Estndares de Accesibilidad ....................................................................................................................................................15Timely Access to Care .............................................................................................................................................................16Acceso oportuno a la atencin mdica ....................................................................................................................................17Physician Listing Information ...................................................................................................................................................18Informacin del listado de mdicos .........................................................................................................................................18Sonoma Primary Care Provider ...............................................................................................................................................19

    Cloverdale ..........................................................................................................................................................................19Gualala ...............................................................................................................................................................................19Guerneville .........................................................................................................................................................................20Healdsburg .........................................................................................................................................................................20Occidental ...........................................................................................................................................................................22Petaluma ............................................................................................................................................................................23Point Arena .........................................................................................................................................................................27Point Reyes ........................................................................................................................................................................28Rohnert Park ......................................................................................................................................................................28Santa Rosa .........................................................................................................................................................................32Sebastopol ..........................................................................................................................................................................45Sonoma ..............................................................................................................................................................................47Windsor ...............................................................................................................................................................................48

    Sonoma Facilities, Pharmacy, Urgent Care & VSP List ..........................................................................................................50Hospitals Primary ................................................................................................................................................................50Hospitals Referral ...............................................................................................................................................................50Mental Health Services - Outpatient ...................................................................................................................................52Pharmacy Network List .......................................................................................................................................................53Skilled Nursing Long Term Care Facilities ..........................................................................................................................58Vision Service Plan (VSP) (1-800-877-7195) .....................................................................................................................60

    Sonoma Referral/Specialist Providers .....................................................................................................................................62Acupuncture .......................................................................................................................................................................62Allergy .................................................................................................................................................................................63Alternative Birthing Centers ................................................................................................................................................63Ambulance Medical Transportation ....................................................................................................................................63Ambulatory Surgery Centers ..............................................................................................................................................64

  • Page ii of iii

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    Audiology ............................................................................................................................................................................64Bariatric Surgery .................................................................................................................................................................65Behavioral Health Treatment ..............................................................................................................................................66Cardiovascular Disease ......................................................................................................................................................69Chiropractic ........................................................................................................................................................................74Comprehensive Perinatal Services Program CPSP ...........................................................................................................75Dermatology .......................................................................................................................................................................75Dialysis Centers ..................................................................................................................................................................77Durable Medical Equipment ...............................................................................................................................................78Endocrinology .....................................................................................................................................................................81Family Planning ..................................................................................................................................................................82Gastroenterology ................................................................................................................................................................82General Surgery .................................................................................................................................................................83Gynecology .........................................................................................................................................................................87HIV AIDS Specialists ..........................................................................................................................................................93Hand Surgery ......................................................................................................................................................................93Hearing Aid Dispenser ........................................................................................................................................................94Hematology .........................................................................................................................................................................95Home Health Agencies .......................................................................................................................................................96Home Infusion Therapy .......................................................................................................................................................97Hospice Services ................................................................................................................................................................98Infectious Diseases ............................................................................................................................................................98Laboratory Draw Stations ...................................................................................................................................................99Medical Supplies ................................................................................................................................................................99Nephrology .......................................................................................................................................................................101Neurological Surgery ........................................................................................................................................................102Neurology .........................................................................................................................................................................102Nutrition Services .............................................................................................................................................................103Obstetrics .........................................................................................................................................................................104Occupational Therapy ....................................................................................................................................................... 110Oncology ........................................................................................................................................................................... 110Ophthalmology .................................................................................................................................................................. 112Orthopaedic Surgery ......................................................................................................................................................... 116Orthotics Prothetics ..........................................................................................................................................................121Otolaryngology ..................................................................................................................................................................122Pain Management ............................................................................................................................................................122Palliative Medicine ............................................................................................................................................................124Physical Medicine Rehabilitation ......................................................................................................................................125Physical Therapy ..............................................................................................................................................................125Plastic Reconstructive Surgery .........................................................................................................................................126Podiatry .............................................................................................................................................................................126Pulmonary Disease ..........................................................................................................................................................131Radiation Oncology ..........................................................................................................................................................132Radiology ..........................................................................................................................................................................133Rheumatology ...................................................................................................................................................................134

  • Page iii of iii

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    Sleep Medicine .................................................................................................................................................................135Speech Therapy ................................................................................................................................................................135Sports Medicine ................................................................................................................................................................136Suboxone/Buprenorphine Treatment ................................................................................................................................136Substance Abuse ..............................................................................................................................................................140Telehealth Services ..........................................................................................................................................................140Thoracic Surgery ..............................................................................................................................................................141Urology .............................................................................................................................................................................141Vascular Surgery ...............................................................................................................................................................143

    INDEX ....................................................................................................................................................................................144

  • Page 1 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    How to use this list:

    1. Pick two primary care providers (PCPs). One will be your first choice and the other will be your second choice. Weask you to pick a second choice in case your first choice is not available.

    2. Write the names and the provider numbers of the primary care providers that you picked on the enclosed PrimaryCare Provider Selection Form. Call our Members Services Department to make sure the doctor or medical group isavailable.

    3. Return the Primary Care Selection Form to PHC using the enclosed postage paid return envelope.

    4. You can access some Medi-Cal benefits without an authorization from your PCP. Please refer to your MemberHandbook or call the PHC Member Services Department for more information about these services.

    5. Some hospitals and\or primary care providers may not provide one or more of the following services that arecovered benefits: family planning contraceptive services, including emergency contraception; sterilization, includingtubal ligation or abortion. You can obtain more information about these services before you choose your PCP bycalling your prospective primary care provider or by calling the PHCs Member Services Department at(800) 863-4155. TTY Users: Call the California Relay Service at (800) 735-2929 or call 711.

    6. Members are encouraged to pick a Primary Care Provider (PCP) that is closest to their home. However, memberscan choose any PCP in their County that is available in this Provider Directory.

    7. The telephone number listed under each site in this directory is the same number to call after normal businesshours.

    If you need help filling out the Primary Care Selection Form or if you have any questions about choosing a primary care provider, please call our Member Services Department at (800) 863-4155. TTY Users: Call the California Relay Service at (800) 735-2929 or call 711.

    Your PCP will give you a referral to send you to a specialist if you need one. A specialist is a doctor who has extra education in one area of medicine. Your PCP will work with you to choose a specialist.

    For some types of care, your PCP or specialist will need to ask for approval before you get the care. This is called prior authorization or pre-approval. It means that PHC agrees that the care is medically necessary.

    If you have any questions concerning handicapped accessibility, please call our Member Services Department at (800) 863-4155. TTY Users: Call the California Relay Service at (800) 735-2929 or call 711.

  • Page 2 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    Para usar esta lista:

    1. Escoja dos proveedores de atencin primaria (PCP). El primero ser el mdico que usted prefiere, y el segundoser el que prefiere en segundo lugar. Le pedimos que seleccione dos en caso que el doctor que prefiere no estdisponible.

    2. Escriba los nombres y el nmero de proveedor de cada uno de los dos mdicos que escogi en el formulario quese llama "Primary Care Provider Selection Form". Llame a Nuestro Departamento de Servicio al Miembro paraasegurarse de que el doctor o el grupo medico est disponible.

    3. Regrese el formulario por correo a PHC en el sobre con sello que le incluimos.

    4. Usted puede recibir algunos beneficios de Medi-Cal sin ninguna autorizacin de su doctor primario. Por favor dereferir a su Manual para Miembros o llame al departamento de servicios para miembro de PHC para msinformacin sobre estos servicios.

    5. Algunos hospitales o proveedores de atencin primaria puede que no ofrezcan uno o ms de los siguientesbeneficios que estn cubiertos, como: planificacin familiar servicios anticonceptivos, incluyendo anticonceptivo deemergencia, esterilizacin, incluyendo ligadura de las trompas o aborto. Usted puede recibir ms informacin deestos servicios antes de escoger a su PCP si llama a su prospectivo proveedor de atencin primaria o si llama alDepartamento de Servicios para Miembros de PHC al (800) 863-4155 (TTY: (800) 735-2929 or 711).

    6. Animados a miembros a escoger el proveedor primario (PCP) que est ms cerca de su casa. Sin embargo,miembros pueden escoger cualquier PCP en su condado que est disponible en este Directorio de Proveedores.

    7. El nmero de telfono enumerado debajo de cada sitio en el directorio es el mismo nmero para llamar despus dehoras normales del negocio.

    Si necesita ayuda para completar el formulario que se llama "Primary Care Provider Selection Form", o si tiene preguntas sobre cmo escoger un proveedor de atencin primaria, por favor llame a nuestro Departamento de Servicios para Miembros al (800) 863-4155 (TTY: (800) 735-2929 or 711).

    Su PCP le dar una referencia para enviarlo a un especialista si lo necesita. Un especialista es un mdico que tiene educacin adicional en un rea de la medicina. Su PCP trabajar con usted para elegir un especialista.

    Para algunos tipos de cuidado, su PCP o especialista necesitar pedir autorizacin antes de que usted obtenga la atencin mdica. Esto se llama autorizacin o aprobacin previa. Esto significa que PHC est de acuerdo en que el cuidado es mdicamente necesario.

    Si tiene cualquier pregunta sobre acceso para incapacitados, por favor llame al Departamento de Servicios para Miembros al ((800) 863-4155 (TTY: (800) 735-2929 or 711).

  • Page 3 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC Provider Directory - Glossary of Terms

    Here you'll find definitions of basic terms used in the PHC Provider Directory. If you are unable to

    find an answer to your question, please call Member Services at

    (800) 863-4155.

    Accreditation

    When a hospital goes through a review to assess the quality of its systems and processes by an outside organization.

    Ancillary Provider

    An ancillary provider includes durable medical equipment provider, physical therapist, occupational therapist, etc.

    Board Certification

    Board certification means the physician completed additional education and training in an area of medicine and passed an examination that certifies he or she has expertise in this area.

    Community Health Clinic

    This is a clinic staffed by a group of doctors and nurses located in a community.

    Medical Group Affiliations

    The practice, or medical group, the provider belongs to.

    Assigned Hospital

    The hospital that your provider will send you to when you need care, unless the care is not available at this hospital.

    Provider Languages

    Languages spoken by provider. Additionally, other languages may be spoken by office and clinical staff. These additional languages are included as part of the provider specific information.

    Provider Address

    The location where services and care are rendered.

    Provider Site Status

    Accepting New Patients: The provider site is able to see new patients.

    Accepting New Patients: The provider site is only able to see patients who are alreadyassigned to the site.

    Available by Referral Only: The provider site is only able to see patients who are referredby their primary care physician.

  • Page 4 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    Available only through a hospital or facility: The provider does not see patients in anoffice setting. The provider only works with patients who are receiving care at a hospital orfacility.

    Not Accepting New Patients: The provider site is not able to add new patients to their site.

    Specialty Type

    Allows searching by the providers medical specialty, or the type of facility. For example, if you are looking for a Dermatologist, select Dermatology from the list. Note: Some physicians may have more than one specialty. For facilities, if you are looking for a hospital, for example, select hospital.

    Wheelchair & Accessibility Codes

    This information is for people with disabilities to help them find an accessible office. Each office is evaluated on the level of access for parking, building, elevator, doctors office exam room, and restrooms.

    Levels of Access

    Accessibility Codes (see page 13 for a description of codes:P EB IB R E T )

    Basic Access

    The office meets the standards below for parking, exterior and interior building, restrooms, and exam rooms (P, EB, IB, R, and E).

    Limited Access

    The office does not meet one or more of the standards for parking, exterior and interior building, restrooms, and exam rooms (P, EB, IB, R, and E). See page 13 for a description of codes:P EB IB R E T

    Medical Equipment Access

    The office meets the standard below for exam tables and scales (T).

  • Page 5 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    Directorio de proveedores de PHC - Glosario de trminos

    Aqu encontrar las definiciones de trminos bsicos utilizados en el Directorio de proveedores de

    PHC. Si no puede encontrar una respuesta a su pregunta, llame a Servicios al Miembro al

    (800) 863-4155.

    Acreditacin

    Cuando un hospital se somete a una revisin para evaluar la calidad de sus procesos y sistemas por una organizacin externa.

    Proveedores auxiliares

    Un proveedor auxiliar incluye proveedores de equipo mdico duradero, fisioterapeutas, terapeutas ocupacionales, etc.

    Certificacin de la Junta

    Certificacin de la Junta significa que el mdico complet educacin y capacitacin adicional en un rea de la medicina y aprob un examen que certifica que l o ella tiene experiencia en esta rea.

    Clnica de salud de la comunidad

    Esta es una clnica que cuenta con un grupo de mdicos y enfermeros ubicado en la comunidad.

    Afiliaciones de grupo mdico

    El consultorio, o grupo mdico, al que pertenece el proveedor.

    Hospital Asignado

    El hospital al que su proveedor le enviar a cuando usted necesite atencin, a menos que la atencin no est disponible en este hospital.

    Idiomas del proveedor

    Idiomas hablados por el proveedor. Adems, es posible que personal administrativo y clnico tambin hable otros idiomas. Estos idiomas adicionales se incluyeron como parte de la informacin especfica del proveedor.

    Direccin del proveedor

    El lugar donde se prestan los servicios y la atencin.

    Estado del sitio del proveedor

    Acepta pacientes nuevos: el sitio del proveedor puede ver a pacientes nuevos.

    Acepta pacientes existentes: el sitio del proveedor solo puede ver a pacientes que yaestn asignados al sitio.

    Disponible con referencia nicamente: el sitio del proveedor nicamente puede ver a

  • Page 6 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    pacientes que son referidos por su mdico de atencin primaria.

    Disponible nicamente por medio de un hospital o centro: el proveedor no atiende apacientes en un entorno de consultorio. El proveedor nicamente trabaja con los pacientesque estn recibiendo atencin en un hospital o centro.

    No acepta nuevos pacientes: el sitio del proveedor no puede agregar nuevos pacientesen su sitio.

    Tipo de especialidad

    Permite la bsqueda por especialidad mdica del proveedor, o el tipo de centro. Por ejemplo, si usted est buscando un dermatlogo, seleccione Dermatologa de la lista. Nota: Algunos mdicos pueden tener ms de una especialidad. Para centros de salud, si usted est buscando un hospital, por ejemplo, seleccione hospital.

    Sillas de ruedas y cdigos de accesibilidad

    Esta informacin es para las personas con discapacidades para ayudarles a encontrar un consultorio accesible. Cada clnica se evala en el nivel de acceso para estacionamiento, edificio, ascensor, sala de examen del consultorio mdico y baos.

    Niveles de acceso

    Cdigos de accesibilidad (consulte la pgina 13 para obtener una descripcin de los cdigos:P EB IB R E T )

    Acceso bsico

    El consultorio cumple con los estndares a continuacin para estacionamiento, interior y exterior del edificio, baos y salas de examen (parking, exterior and interior building, restrooms, and exam rooms, P, EB, IB, R y E).

    Acceso limitado

    El consultorio no cumple con uno o ms de los estndares a continuacin para estacionamiento, interior y exterior del edificio, baos y salas de examen (P, EB, IB, R y E). Consulte la pgina 13 para obtener una descripcin de los cdigos:P EB IB R E T

    Acceso de equipo mdico

    El consultorio cumple con los estndares a continuacin para mesas de examen y balanzas (T).

  • Page 7 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    NONDISCRIMINATION NOTICE

    Discrimination is against the law. Partnership HealthPlan of California follows

    Federal civil rights laws. Partnership HealthPlan of California does not

    discriminate, exclude people, or treat them differently because of race, color,

    national origin, age, disability, or sex.

    Partnership HealthPlan of California provides:

    Free aids and services to people with disabilities to help them communicate

    better, such as:

    Qualified sign language interpreters

    Written information in other formats (large print, audio, accessible

    electronic formats, other formats)

    Free language services to people whose primary language is not English,

    such as:

    Qualified interpreters

    Information written in other languages

    If you need these services, contact Partnership HealthPlan of California between

    8 a.m. 5 p.m. by calling (800) 863-4155. Or, if you cannot hear or speak well,

    please call (800) 735-2929 or 711.

  • Page 8 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    HOW TO FILE A GRIEVANCE

    If you believe that Partnership HealthPlan of California has failed to provide these services or discriminated in another

    way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with Partnership HealthPlan

    of California. You can file a grievance by phone, in writing, in person, or electronically:

    By phone: Contact Partnership HealthPlan of California between 8 a.m. 5 p.m. by calling (800) 863-4155. Or,

    if you cannot hear or speak well, please call (800) 735-2929 or 711.

    In writing: Fill out a complaint form or write a letter and send it to:

    Partnership HealthPlan of California

    4665 Business Center Drive

    Fairfield, CA 94534

    OR

    Partnership HealthPlan of California

    3688 Avtech Parkway

    Redding, CA 96002

    In person: Visit your doctors office or Partnership HealthPlan of California and say you want to file a grievance.

    Electronically: Visit website Partnership HealthPlan of California at www.partnershiphp.org

    OFFICE OF CIVIL RIGHTS

    You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights

    by phone, in writing, or electronically:

    By phone: Call (800) 368-1019. If you cannot speak or hear well, please call

    TTY/TDD (800) 537-7697.

    In writing: Fill out a complaint form or send a letter to:

    U.S. Department of Health and Human Services

    200 Independence Avenue, SW

    Room 509F, HHH Building

    Washington, D.C. 20201

    Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

    Electronically: Visit the Office for Civil Rights Complaint Portal at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.

  • Page 9 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    AVISO DE NO DISCRIMINACIN

    La discriminacin est prohibida por ley. Partnership HealthPlan of California cumple las leyes federales de derechos civiles. Partnership HealthPlan of California no discrimina, excluye ni trata a personas de manera diferente debido a la raza, color, nacionalidad, edad, discapacidad o sexo.

    Partnership HealthPlan of California proporciona:

    Ayuda gratuita y servicios a las personas con discapacidadespara comunicarse mejor, como:

    Intrpretes de lenguaje de seas calificados

    Informacin escrita en otros formatos (letra grande,audio, formatos electrnicos accesibles, otros formatos)

    Servicios gratuitos de idiomas para las personas cuyo idiomaprimario no es el ingls, como:

    Intrpretes calificados

    Informacin escrita en otros idiomas

    Si necesita estos servicios, comunquese a Partnership HealthPlan of California de 8 a. m. a 5 p. m. llamando al (800) 863-4155. O, si no puede escuchar o hablar bien, por favor llame al (800) 735-2929 o 711.

  • Page 10 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    COMO PRESENTAR UNA QUEJA

    Si usted cree que Partnership HealthPlan of California ha fallado en proveer estos servicios o ha discriminado en otra manera basada en raza, color, nacionalidad, edad, discapacidad o sexo, usted puede presentar una queja ante Partnership HealthPlan of California. Usted puede presentar una queja por telfono, por escrito o por va electrnica:

    Por telfono: Pngase en contacto con Partnership HealthPlan of California entre 8 a.m. -5 p.m. llamando al (800) 863-4155. O, si no puede escuchar o hablar bien, por favor llameal (800) 735-2929 o 711.

    Por escrito: Llene un formulario de reclamo o escriba una carta y envela a:

    Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534

    O

    Partnership HealthPlan of California3688 Avtech ParkwayRedding, CA 96002

    En persona: Visite al consultorio de su mdico o Partnership HealthPlan of California y digaque desea presentar una queja.

    Por va electrnica: Visite el sitio web de Partnership HealthPlan of California enwww.partnershiphp.org

    OFICINA DE DERECHOS CIVILES

    Usted tambin puede presentar una queja de derechos civiles ante la Oficina de Derechos Civiles del Departamento de Salud y Servicios Humanos de EE. UU., por telfono, por escrito o por va electrnica:

    Por telfono: Llame al (800) 368-1019. Si no puede escuchar o hablar bien, favor de llamaral TTY/TDD (800) 537-7697.

    Por escrito: Llene un formulario de reclamo o enve una carta a:

    U.S. Department of Health and Human Services200 Independence Avenue, SWRoom 509F, HHH BuildingWashington, D.C. 20201

    Los formularios de quejas estn disponibles en http://www.hhs.gov/ocr/office/file/index.html.

    Por va electrnica: Visite el Portal de Reclamos de la Oficina de Derechos Civiles, alhttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf.

    http://www.partnershiphp.org/http://www.hhs.gov/ocr/office/file/index.htmlhttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf

  • Page 11 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    LANGUAGE ASSISTANCE English

    ATTENTION: If you speak another language, language assistance services, free of

    charge, are available to you. Call (800) 863-4155 (TTY: (800) 735-2929 or 711).

    Espaol (Spanish)

    ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Llame al (800) 863-4155 (TTY: (800) 735-2929 or 711).

    (Russian)

    : , . (800) 863-4155 (TTY: (800) 735-2929 or 711).

    Ting Vit (Vietnamese)

    CH : Nu bn ni Ting Vit, c cc dch v h tr ngn ng min ph dnh cho bn. Gi s (800) 863-4155 (TTY: (800) 735-2929 or 711).

    Tagalog (Tagalog Filipino)

    PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga

    serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (800) 863-4155 (TTY:

    (800) 735-2929 or 711).

    (Korean)

    : ,

    . (800) 863-4155 (TTY: (800) 735-2929 or 711)

    .

  • Page 12 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    (Chinese)

    (800) 863-4155 (TTY: (800) 735-2929 or 711)

    (Armenian)

    ,

    :

    (800) 863-4155 (TTY () (800) 735-2929 or 711):

    (Farsi)

    : . (TTY: (800) 735-2929 or 711) 4155-863 (800) .

    (Japanese)

    (800) 863-4155 (TTY: (800) 735-2929 or 711)

    Hmoob (Hmong)

    LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj

    kev pab dawb rau koj. Hu rau (800) 863-4155 (TTY: (800) 735-2929 or 711).

    (Punjabi)

    : , (800) 863-4155 (TTY: (800) 735-2929 or 711) '

  • Page 13 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    (Arabic)

    :

    711) : 4155-863 (800) .

    or (800) 735-2929.)

    (Hindi)

    :

    (800) 863-4155 (TTY: (800) 735-2929 or 711)

    (Thai)

    :

    (800) 863-4155 (TTY: (800) 735-2929 or 711).

    (Cambodian) , (800) 863-4155 (TTY: (800) 735-2929 or 711)

    (Laotian): , , , . (800) 863-4155 (TTY: (800)735-2929 or 711)

  • Page 14 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    Accessibility Standards for Seniors and Persons with Disabilities

    This directory now lists codes to define accessibility standards. These standards are meant to help seniors and persons with disabilities. The intent is that members can get in and around offices safely and without help from others. These codes are not yet listed for all providers. If you do not see these codes listed under a certain providers name, just call the office. You can ask if they have the type of access that you need.

    Levels of Access

    Basic Access The office meets the standards below for parking, interior and exterior building, exam rooms, and restrooms (P, EB, IB, R, and E).

    Limited Access The office does not meet one or more of the standards below for parking, interior and exterior building, exam rooms, and restrooms (P, EB, IB, R, and E).

    Medical Equipment Access The office meets the standard below for exam tables and scales (T).

    Accessibility Codes

    = Wheelchair Accessible

    P = Parking Accessible parking spaces, including van accessible spaces(s), are present. Pathways have curb ramps between the parking lot, office, and at drop off areas.

    EB = Exterior Building Curb ramps and other ramps to the building are not too long. Ramps are wide enough for a wheelchair or scooter. Handrails are on both sides of the ramp. There is an "accessible" entrance to the building. Doors open wide enough for a wheelchair or scooter, and have handles that are easy to use.

    IB = Interior Building Pathways are wide enough for a wheelchair or scooter. Stairs, if present, have handrails. If there is an elevator, it can be used at all times the building is open. The elevator has easy to hear sounds and Braille buttons within reach. The elevator has enough room for a wheelchair or scooter to turn around. If there is a platform lift, it can be used without help.

    R = Restroom The restroom doors are wide enough for a wheelchair or scooter. The restroom has enough room for a wheelchair or scooter to turn around and close the door. There are grab bars which allow easy transfer from wheelchair to toilet. The sink is easy to get to and the faucets, soap, and toilet paper are easy to reach and use.

    E = Exam Room The doors to the exam rooms open wide enough for a wheelchair or scooter. The exam room has enough room for a wheelchair or scooter to turn around.

    T = Exam Table/Scale The exam table moves up and down and has space next to it for a wheelchair or scooter. The weight scale can be used by patients with wheelchairs or scooters.

  • Page 15 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    Normas de Accesibilidad para Personas Mayores y Personas con Discapacidades

    Este directorio enumera los cdigos para definir las normas de accesibilidad. Estas normas pretenden ayudar a personas mayores y a personas con discapacidades. La intencin es que los miembros puedan entrar y desplazarse por las oficinas de manera segura y sin ayuda de otros. Estos cdigos todava no se encuentran enumerados para todos los proveedores. Si no ve estos cdigos enumerados bajo el nombre de cierto proveedor, llame a la oficina del proveedor. Puede preguntar si tienen el tipo de acceso que usted necesita.

    Niveles de acceso Acceso bsico La oficina cumple con las normas de estacionamiento, interior y exterior del edificio, salas de examen y baos (P, EB, IB, R y E).

    Acceso limitadoLa oficina no cumple con una o ms de las normas de estacionamiento, interior y exterior del edificio, salas de examen y baos (P, EB, IB, R y E).

    Acceso de equipo mdicoLa oficina cumple con la norma para camillas de examen y bsculas (T).

    Cdigos de accesibilidad

    = Accesible a silla de ruedas (Wheelchair Accessible)

    P = Estacionamiento (Parking) Espacios de estacionamiento accesible, incluyendo espacios accesibles para van, estn presente. Las entradas tienen rampas de acceso en las aceras entre el estacionamiento, la oficina y las reas para dejar a las personas.

    EB = Exterior del edificio (Exterior Building) Las rampas en las aceras y otras rampas hacia el edificio no son demasiado largas. Las rampas son suficientemente anchas para permitir el acceso de una silla de ruedas o un scooter. Los pasamanos se encuentran en ambos lados de la rampa. El edificio tiene una entrada accesible. La abertura de las puertas es suficientemente ancha como para permitir el acceso de una silla de ruedas o un scooter, y tienen agarraderas que son fciles de usar.

    IB = Interior del Edificio (Interior Building) Los pasillos son lo suficientemente anchos como para una silla de ruedas o un scooter. Las escaleras, si las hay, tienen pasamanos. Si hay ascensor, puede usarse en todo momento en que el edificio est abierto. El ascensor tiene sonidos fciles de or y botones Braille al alcance. El ascensor tiene espacio suficiente como para que una persona en silla de ruedas o scooter se d vuelta. Si hay ascensor con plataforma, se puede usar sin ayuda.

    R = Bao (Restroom) Las puertas del bao son lo suficientemente anchas como para una silla de ruedas o un scooter. El bao tiene suficiente espacio para que una persona en silla de ruedas o scooter se d vuelta y cierre la puerta. Hay pasamanos que permiten trasladarse fcilmente de la silla de ruedas al inodoro. Es fcil llegar al lavamanos, y las llaves, jabn y papel higinico son fciles de alcanzar y usar.

    E = Sala de Examen (Exam Room) La abertura de las puertas que llevan hacia las salas de examen son lo suficientemente anchas como para una silla de ruedas o un scooter. La sala de examen tiene suficiente espacio como para que una persona en silla de ruedas o scooter se d vuelta.

    T = Camilla de Examen/Bscula (Exam Table/Scale) La camilla de examen se mueve hacia arriba y hacia abajo y tiene espacio a un lado como para una silla de ruedas o scooter. Los pacientes en sillas de ruedas o scooters pueden usar la bscula.

  • Page 16 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    Timely Access to Care

    This table shows you the how long it should take you to get an appointment with a PHC provider. If it takes you longer to get an appointment you can call us at (800) 863-4155 for assistance. If you need care outside the normal office hours, you can call the Advice Nurse at no cost to you. The Advice Nurse line is available 7 days a week, 24 hours a day at (866) 778-8873, TTY users call (800) 735-2929 or 711.

    Appointment Type Must Get Appointment Within

    Urgent care appointments that do not require pre-approval (prior authorization)

    48 hours

    Urgent care appointment that do require prior authorization

    96 hours

    Non-urgent primary care appointments 10 business days

    Non-urgent specialist 15 business days

    Non-urgent mental health provider (non-physician)

    10 business days

    Non-urgent appointment for ancillary services for the diagnosis or treatment of injury, illness, or other health condition

    15 business days

    Telephone wait times during normal business hours

    10 minutes

    Triage 24/7 services 24/7 services No more than 30 minutes

  • Page 17 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    Acceso oportuno a la atencin mdica

    Esta tabla le muestra qu tanto tiempo debera tomarle obtener una cita con un proveedor de PHC. Si llega a tomar ms tiempo puede comunicarse con nosotros al (800) 863-4155 para solicitar asistencia. Si necesita atencin mdica fuera del horario normal del consultorio, puede llamar a la enfermera de asesora sin costo alguno para usted. La lnea de asesora de enfermeras est disponible los 7 das a la semana, las 24 horas al da al (866) 778-8873, los usuarios de TTY deben llamar al (800) 735-2929 o marcar 711.

    Tipo de cita Debe obtener la cita dentro de

    Citas de atencin de urgencia que no requieren aprobacin previa (autorizacin previa)

    48 horas

    Cita de atencin de urgencia que requieren autorizacin previa

    96 horas

    Citas de atencin mdica primaria no urgentes

    10 das laborales

    Especialista no urgente 15 das laborales Proveedor de salud mental no urgente (profesional de la salud no mdico)

    10 das laborales

    Cita no urgente para servicios auxiliares para el diagnstico o tratamiento de una lesin, enfermedad u otra afeccin de salud

    15 das laborales

    Tiempos de espera al telfono durante el horario normal de trabajo

    10 minutos

    Triaje - servicios 24/7 Servicios las 24 horas del da, los 7 das de la semana No ms de 30 minutos

  • Page 18 of 148

    PHC PROVIDERS | SONOMA COUNTY DIRECTORY

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    Physician Listing Information

    To report a potential error in the Provider Directory - Email [email protected] or call (800) 863-4155.

    How to read the Provider Directory To help you in your selection, the following information is provided about each personal physician.

    Como leer el Directorio de Proveedores Para ayudarle a seleccinar un proveedor, lea la informacin siguiente sobre cada proveedor.

    City Location or Specialty Type Fairfield Ubicacin de Ciudad o Tipo de Especialidad

    Provider Site Name Family Medical Center Nombre del Sitio del Proveedor

    PCP Site Number PCP # 1234-0001 Nmero de Sitio del PCP

    Enrollment Status Open to New Patients Estado de Inscribirse

    Ages Accepted Ages: No Age Limitations Las Edades Aceptadas

    Hospital Affiliation Hospital(s): NorthBay Afiliacin de Hospital

    Address 1234 Hospital Drive

    Fairfield, CA 94534

    Direccin

    Accessibility P EB IB R E T Accesibilidad

    Phone (707) 555-5555 (phn) Telfono

    Fax (707) 555-5556 (fax) Fax

    URL Website www.abc123.com URL Sitio Web

    Hours Mon Fri 8 a.m. 6 p.m. Horas

    Medical Specialty Family Practice Especialidad Mdica

    Providers Name Doe, John MD Nombre del Proveedor Mdico

    NPI 1234567890 NPI

    License Number A12345 Nmero de Licencia

    Languages Spanish, Tagalog Idiomas

    Special Accommodations and Levels of Access

    Adj. Exam Tables

    Special Scales for Wheelchairs

    Scales that weigh up to 300lbs

    Hoyer Lift

    Gurney Accommodations

    Hearing Impaired Accommodations

    Onsite Interpretation Services

    Basic Access

    Alojamiento Especial y

    Niveles de Acceso

    http://www.abc123.com/

  • Page 19 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Cloverdale

    Alexander Valley Healthcare ^1^

    PCP PHC#: 8332-0009

    NPI: 1033534466FQHCFamily Medicine, Internal MedicineAccepting New Patients

    No Age LimitationsCHDP Provider

    6 Tarman DrCloverdale, CA 95425 Primary Phone: (707) 894-4229Primary Fax: (707) 894-2954Mon - Fri 8:00 AM - 7:00 PM

    Family MedicineBurdick, Shellie, DO ^2^

    Family Medicine Neuromusculoskeletal Medicine &

    Osteopathic Manipulative Medicine

    NPI: 1376839332License: 20A13173Gender: FemaleGonzalez Mendez, Gustavo Enrique, MD ^3^

    NPI: 1457402430License: A44064Gender: MaleSpanishHospital Privileges: Sutter Santa Rosa Regional HospitalHashem, Norr, DO ^4^

    Family Medicine Neuromusculoskeletal Medicine &

    Osteopathic Manipulative Medicine

    NPI: 1760778724License: 20A13182Gender: Male

    Wheeler, Cary Lynn, DO ^5^

    Family Medicine Neuromusculoskeletal Medicine &

    Osteopathic Manipulative Medicine

    NPI: 1427366426License: 20A12450Gender: FemaleSpanish

    Internal MedicineParthasarathi, Niranjana, MD ^6^

    Internal MedicineNPI: 1134185473License: G133895Gender: FemaleSpanish, Tamil

    Pile, Elizabeth L, NP ^7^

    NPI: 1881058022License: 95002663Gender: FemaleSpanish

    Special Accommodations: Adj. Exam Tables

    Gualala

    Redwood Coast Medical Services ^8^

    PCP PHC#: 6608-0004

    NPI: 1962530725FQHCFamily MedicineAccepting New Patients

    No Age LimitationsCHDP Provider

    46900 Ocean DrGualala, CA 95445, P,IB,R,E

    Level of Access: LimitedSkilled Medical Interpreter ServicePrimary Phone: (707) 884-4005Primary Fax: (707) 884-9728Mon - Fri 8:00 AM - 6:00 PM

    Family MedicineBertolli, Thomas A, MD ^9^

    Family MedicineNPI: 1811089717License: A38824Gender: Male

    Ewing, Harold J, PA-C ^10^

    NPI: 1811067317License: 12967Gender: MaleFalk, Lois Richardson, NP ^11^

    NPI: 1346332335License: 2525Gender: FemaleNagle, Elizabeth J, FNP ^12^

    NPI: 1851379705License: 6682Gender: Female

    Special Accommodations: Adj. Exam Tables, Gurney Accommodations

  • Page 20 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Guerneville

    Russian River Health Center ^13^

    West County Health CentersPCP PHC#: 4770-0010

    NPI: 1356344758FQHCFamily MedicineAccepting Existing Patients

    No Age LimitationsCHDP Provider

    16319 3rd StGuerneville, CA 95446 Primary Phone: (707) 869-2849Primary Fax: (707) 869-1477Mon - Thu 9:00 AM - 8:00 PMFri 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

    Family MedicineDavey, Michelle, DO ^14^

    Family MedicineNPI: 1366445785License: 20A7876Gender: FemaleHospital Privileges: Sutter Santa Rosa Regional HospitalDeVille, DeEtte Martene, MD ^15^

    Family MedicineNPI: 1558528349License: A73739Gender: FemaleHospital Privileges: Sutter Santa Rosa Regional HospitalGarrison Jakel, Jared N, MD ^16^

    Family MedicineNPI: 1962728550License: A117594Gender: MaleHospital Privileges: Sutter Santa Rosa Regional Hospital

    Elliott III, Jerrold Paul, PA ^17^

    NPI: 1982854618License: PA20527Gender: Male

    Special Accommodations: Adj. Exam Tables

    Healdsburg

    Alliance Medical Center ^18^

    PCP PHC#: 5062-0023

    NPI: 1750399796FQHCFamily Medicine, Internal MedicineAccepting New Patients

    No Age LimitationsCHDP Provider

    1381 University AveHealdsburg, CA 95448 Primary Phone: (707) 433-5494Primary Fax: (707) 431-8649Mon - Thu 8:00 AM - 9:00 PMFri 8:00 AM - 5:00 PM

    Family MedicineKeighley, Ember, MD ^19^

    Family MedicineNPI: 1295025039License: A122010Gender: FemaleSpanishHospital Privileges: Sutter Santa Rosa Regional HospitalLeon, Federico G, MD ^20^

    Family MedicineNPI: 1659349173License: C138145Gender: MaleSpanish

    Lepley, Rosalyn Brown, MD ^21^

    NPI: 1730119959License: G15253Gender: FemalePace, Gary James, MD ^22^

    Family MedicineNPI: 1326105313License: A52538Gender: Male

    Internal MedicineMinkoff, Jerome R, MD ^23^

    Endocrinology, Diabetes & Metabolism

    Internal MedicineNPI: 1801970975License: G41326Gender: MaleRich, Stephen M, MD ^24^

    Internal MedicineNPI: 1730263716License: G40922Gender: Male

    Bocc, Edward, PA ^25^

    NPI: 1215014469License: PA18351Gender: MaleSpanishDeflorimonte, Michelle C, FNP ^26^

    NPI: 1295255826License: 95006597Gender: FemaleLabbe, Susannah R, NP ^27^

    NPI: 1154609949License: 20881Gender: FemaleMarcus, Laura A, FNP ^28^

    NPI: 1932453990License: 22607Gender: Female

  • Page 21 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Rake, Linda A, PA ^29^

    NPI: 1659580207License: 13290Gender: FemaleSpanishSteele, Todd C, NP ^30^

    NPI: 1457788945License: 23326Gender: MaleSpanish

    Special Accommodations: Adj. Exam Tables

    Andolsen, Richard J., MD ^31^

    PCP PHC#: 15623-0002

    NPI: 1932229291Family MedicineAccepting Existing Patients

    No Age LimitationsCHDP Provider

    465-A March AveHealdsburg, CA 95448 Primary Phone: (707) 433-3369Primary Fax: (707) 433-7013Mon, Tue, Thu 7:30 AM - 4:30 PMFri 9:00 AM - 4:30 PM

    Family MedicineAndolsen, Richard J, MD ^32^

    Family MedicineNPI: 1376533638License: G31940Gender: MaleGerman, SpanishHospital Privileges: Healdsburg District Hospital

    Special Accommodations: Adj. Exam Tables, Scales that weigh up to 300lbs

    Annadel Medical Group ^33^

    PCP PHC#: 38388-0001

    NPI: 1871607762PediatricsAccepting New Patients

    0-18 YearsCHDP Provider

    445 March Ave Ste AHealdsburg, CA 95448, P

    Level of Access: LimitedPrimary Phone: (707) 433-8223Primary Fax: (707) 433-1071Mon - Fri 10:00 AM - 5:00 PM

    PediatricsHedrick, Guadalupe N, MD ^34^

    NPI: 1164417093License: A45846Gender: FemaleSpanishSiegemund, Ronald D, MD ^35^

    NPI: 1710011366License: G79261Gender: MaleGermanSmith, Jean E, MD ^36^

    PediatricsNPI: 1154495455License: G26460Gender: Female

    Special Accommodations: Scales that weigh up to 400lbs

    Healdsburg Physician Group ^37^

    PCP PHC#: 8054-0004

    NPI: 1194824573Family Medicine, Internal MedicineAccepting New Patients

    19 Years and Older

    1312 Prentice DrHealdsburg, CA 95448 Skilled Medical Interpreter ServicePrimary Phone: (707) 433-3383Primary Fax: (707) 433-7210Mon - Fri 8:00 AM - 5:00 PM

    Family MedicineTse, Alice W, MD ^38^

    Family MedicineNPI: 1710918768License: C52947Gender: FemaleHospital Privileges: Healdsburg District HospitalWidger, Judy A, MD ^39^

    Family MedicineNPI: 1821062027License: G80051Gender: FemaleSpanishHospital Privileges: Healdsburg District Hospital

    Internal MedicineMarguglio, Paul Joseph, MD ^40^

    Internal MedicineNPI: 1023045861License: G27723Gender: MaleHospital Privileges: Healdsburg District Hospital

  • Page 22 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Veletto, Tony D, MD ^41^

    NPI: 1205940228License: G58852Gender: MaleSpanishHospital Privileges: Healdsburg District Hospital

    Anderson, Jacqueline E, FNP ^42^

    NPI: 1205245255License: 95000793Gender: Female

    Special Accommodations: Adj. Exam Tables, Gurney Accommodations, Scales that weigh up to 500lbs

    Sutter Medical Group of the Redwoods ^43^

    PCP PHC#: 19399-0012

    NPI: 1003267196Family Medicine, Internal MedicineAccepting Existing Patients

    19 Years and Older

    717 Center StHealdsburg, CA 95448 Primary Phone: (707) 433-7258Primary Fax: (707) 433-8807Mon - Fri 8:30 AM - 5:00 PM

    Family MedicineNeal, Thomas Alan, MD ^44^

    Family MedicineNPI: 1649298910License: G59441Gender: MaleHospital Privileges: Sutter Santa Rosa Regional Hospital

    Slater, Lawrence, MD ^45^

    Family MedicineNPI: 1871669788License: G34746Gender: MaleHospital Privileges: Sutter Santa Rosa Regional Hospital

    Internal MedicineAlbeg, Jonathan C, MD ^46^

    Internal MedicineNPI: 1770677957License: A64791Gender: MaleKates, Melanie, MD ^47^

    Internal MedicineNPI: 1518911965License: G82351Gender: Female

    Black, Laura, NP ^48^

    NPI: 1346591104License: 22370Gender: Female

    Special Accommodations: Adj. Exam Tables

    Occidental

    Occidental Area Health Center ^49^

    West County Health CentersPCP PHC#: 1881-0017

    NPI: 1598768962FQHCFamily MedicineAccepting New Patients

    No Age LimitationsCHDP ProviderOpen to Residents of Occidental & Neighboring Area

    3802 Main StOccidental, CA 95465 Primary Phone: (707) 874-2444Primary Fax: (707) 874-1664Mon - Thu 9:00 AM - 8:00 PMFri 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

    Family MedicineBowen, Trina L, MD ^50^

    Family MedicineNPI: 1609878917License: G47095Gender: FemaleHospital Privileges: Sutter Santa Rosa Regional HospitalDavis, Victoria Moore, MD ^51^

    Family MedicineNPI: 1427050731License: A76726Gender: FemaleHospital Privileges: Sutter Santa Rosa Regional HospitalKirkconnell, Molly R, MD ^52^

    NPI: 1154659373License: A126516Gender: FemaleSpanish

  • Page 23 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Moore, Rain Becker, MD ^53^

    Family MedicineNPI: 1043419559License: A102628Gender: FemaleHospital Privileges: Sutter Santa Rosa Regional Hospital

    Wiley, Wendy Patricia, PA ^54^

    NPI: 1720192487License: 11243Gender: FemaleSpanish

    Special Accommodations: Adj. Exam Tables, Scales that weigh up to 400lbs

    Petaluma

    Annadel Medical Group ^55^

    PCP PHC#: 28388-0001

    NPI: 1871607762PediatricsAccepting Existing Patients

    0-18 YearsCHDP Provider

    1550A Professional Dr Ste 200Petaluma, CA 94954, P,IB,R,E

    Level of Access: LimitedPrimary Phone: (707) 769-7403Primary Fax: (707) 769-0134Mon - Fri 9:00 AM - 4:30 PM

    PediatricsDePala Jr, Armando Villafuerte, MD ^56^

    PediatricsNPI: 1912938085License: A52324Gender: MaleTagalogHospital Privileges: Petaluma Valley HospitalDoolittle, Laurie McGuire, MD ^57^

    PediatricsNPI: 1740364710License: A60968Gender: FemaleHospital Privileges: Petaluma Valley HospitalMartin, Grace T, MD ^58^

    PediatricsNPI: 1356454086License: A83664Gender: FemaleSpanish, TagalogHospital Privileges: Santa Rosa Memorial HospitalStrange, Melissa S, DO ^59^

    PediatricsNPI: 1396975199License: 20A12020Gender: FemaleSpanishHospital Privileges: Santa Rosa Memorial Hospital

    Pope, Emily Ann Ferrell, NP ^60^

    NPI: 1730290834License: 95003418Gender: Female

    Special Accommodations: Adj. Exam Tables

    Annadel Medical Group ^61^

    PCP PHC#: 22831-0001

    NPI: 1871607762Family MedicineAccepting Existing Patients

    19 Years and Older

    905 E Washington StPetaluma, CA 94952 Primary Phone: (707) 763-9891Primary Fax: (707) 762-2311Mon - Fri 8:30 AM - 5:00 PM

    Bryant, Kathryn A, FNP ^62^

    NPI: 1811397177License: 95004883Gender: FemaleMcLaughlin, Eleanor R, FNP ^63^

    NPI: 1548479181License: 5171Gender: FemaleRaines Azwell, Elizabeth A, FNP ^64^

    NPI: 1922424217License: 95000134Gender: Female

    Special Accommodations: Adj. Exam Tables, Scales that weigh up to 500lbs

    Cueto-Salas, Martha, MD ^65^

    PCP PHC#: 17395-0006

    NPI: 1538277140PediatricsAccepting New Patients

    0-18 YearsCHDP Provider

    1456 Professional Dr Ste 403Petaluma, CA 94954

  • Page 24 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Primary Phone: (707) 769-7770Primary Fax: (707) 769-7782Mon - Wed, Fri 8:30 AM - 5:00 PMThu 8:30 AM - 12:00 PM

    PediatricsCueto-Salas, Martha E, MD ^66^

    PediatricsNPI: 1538277140License: A53611Gender: FemaleSpanishHospital Privileges: Petaluma Valley Hospital

    Kaiser Permanente - Petaluma Medical Offices ^67^

    PCP PHC#: 19708-0001

    NPI: 1548343510Family Medicine, Internal Medicine, PediatricsAccepting Existing Patients

    No Age LimitationsCHDP ProviderAssigned Hospital: Kaiser Permanente Medical Center

    3900 Lakeville HwyPetaluma, CA 94954 Primary Phone: (707) 765-3960www.kp.orgMon - Fri 9:00 AM - 5:00 PM

    Special Accommodations: Adj. Exam Tables, Hoyer Lift, Special Scales For Wheelchairs, Scales that weigh up to 500lbs

    To locate a Kaiser doctor, contact Kaiser Member Services at 800-464-4000 or browse Kaiser's Online Provider Directory: healthy.kaiserpermanente.org/

    northern-california/doctors-locations#/sea

    Lundergan, Faye S., MD ^68^

    PCP PHC#: 15628-0003

    NPI: 1174554240PediatricsAccepting Existing Patients

    0-18 YearsCHDP Provider

    1456 Professional Dr Ste 405Petaluma, CA 94954, P,EB,IB,R,E

    Level of Access: BasicPrimary Phone: (707) 769-7500Primary Fax: (707) 769-7570Mon - Fri 9:00 AM - 5:00 PM

    PediatricsLundergan, Faye S, MD ^69^

    PediatricsNPI: 1174554240License: A76943Gender: FemaleHospital Privileges: Petaluma Valley Hospital

    Special Accommodations: Adj. Exam Tables, Scales that weigh up to 300lbs

    Petaluma Health Center ^70^

    PCP PHC#: 14857-0017

    NPI: 1588656268FQHCFamily Medicine, Internal Medicine, PediatricsAccepting New Patients

    No Age LimitationsCHDP Provider

    1179 N McDowell BlvdPetaluma, CA 94954 Primary Phone: (707) 559-7500Primary Fax: (707) 559-7620Mon - Thu 8:00 AM - 8:00 PMFri 8:00 AM - 5:00 PMSat 8:30 AM - 12:00 PM

    Family MedicineAshcroft, Andrew B, MD ^71^

    Family MedicineNPI: 1053306795License: A96865Gender: MaleSpanishHospital Privileges: Petaluma Valley HospitalAthale, Ninad Ravindra, MD ^72^

    Family MedicineNPI: 1619124864License: A108914Gender: MaleSpanishHospital Privileges: Queen of the Valley Medical CenterBaylor, Anna L, MD ^73^

    Family MedicineNPI: 1538218433License: G72855Gender: Female

    http://www.kp.orghttps://healthy.kaiserpermanente.org/northern-california/doctors-locations#/seahttps://healthy.kaiserpermanente.org/northern-california/doctors-locations#/seahttps://healthy.kaiserpermanente.org/northern-california/doctors-locations#/sea

  • Page 25 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Butts, Carmen G, MD ^74^

    Family MedicineNPI: 1457671315License: A121221Gender: FemaleSpanishChen, Iun-Iu A, DO ^75^

    NPI: 1114288412License: 20A14310Gender: FemaleSpanishChi, Carlin L, MD ^76^

    Family MedicineNPI: 1497843122License: A71794Gender: FemaleSpanishChoe, Jonathan Y, MD ^77^

    Family MedicineNPI: 1518959170License: A80237Gender: MaleSpanishHospital Privileges: Petaluma Valley HospitalFinnemore, Rebecca, MD ^78^

    Family MedicineNPI: 1023214467License: A105589Gender: FemaleGerman, SpanishHospital Privileges: Petaluma Valley HospitalGomez-Mira, Christina, MD ^79^

    Family MedicineNPI: 1356734859License: A134563Gender: FemaleFrench, Spanish

    Greer, Karl A, MD ^80^

    Family MedicineNPI: 1396010740License: A127109Gender: MaleSpanishHospital Privileges: Sutter Santa Rosa Regional HospitalHameed, Fasih A, MD ^81^

    Family MedicineNPI: 1417083031License: A96814Gender: MaleSpanishHospital Privileges: Petaluma Valley HospitalIutzi, Cassie J, MD ^82^

    Family MedicineNPI: 1053756346License: A133772Gender: FemaleSpanishLally, Patrick J, MD ^83^

    Family MedicineNPI: 1427480185License: A126768Gender: MaleHospital Privileges: Petaluma Valley HospitalLeighton, Lynette E, MD ^84^

    Family MedicineNPI: 1184875056License: A104902Gender: FemaleSpanishLicht, Nurit, MD ^85^

    Family MedicineNPI: 1477545176License: A90977Gender: FemaleHebrew, SpanishHospital Privileges: Petaluma Valley Hospital

    Lossy, Panna Susan, MD ^86^

    Family MedicineNPI: 1679670673License: G80810Gender: FemaleSpanishOryn, Danielle E, DO ^87^

    Family Medicine Neuromusculoskeletal Medicine &

    Osteopathic Manipulative Medicine

    NPI: 1376535070License: 20A8962Gender: FemaleSpanishHospital Privileges: Petaluma Valley HospitalPearson, Lisa F, MD ^88^

    Family MedicineNPI: 1083894802License: A93483Gender: FemalePendleton, John D, MD ^89^

    Family MedicineNPI: 1326030024License: A91072Gender: MaleSpanishHospital Privileges: Petaluma Valley HospitalRamirez, Toni M, MD ^90^

    Family MedicineNPI: 1518303155License: A132396Gender: FemaleSpanish

  • Page 26 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Sandhu, Amrita, DO ^91^

    Family Medicine Neuromusculoskeletal Medicine &

    Osteopathic Manipulative Medicine

    NPI: 1043542087License: 20A11047Gender: FemaleHindi, Punjabi, SpanishShaw, Emily C, MD ^92^

    Family MedicineNPI: 1851616569License: A118323Gender: FemaleSpanishUllal, Ashmi S, MD ^93^

    Family MedicineNPI: 1073803722License: A133351Gender: FemaleSpanishWilliams, Victoria L, DO ^94^

    Family MedicineNPI: 1659705564License: 20A14008Gender: FemaleSpanish

    Internal MedicineEdouard, Philippe R, MD ^95^

    Internal MedicineNPI: 1124029491License: C51257Gender: MaleFrench, SpanishHospital Privileges: Petaluma Valley Hospital

    PediatricsConnick, Megan, MD ^96^

    Pediatric Infectious Diseases PediatricsNPI: 1104841576License: G141047Gender: FemaleSpanishShende, Urmila A, MD ^97^

    PediatricsNPI: 1225141245License: A60391Gender: FemaleSloan, Mark P, MD ^98^

    PediatricsNPI: 1063596054License: G48394Gender: MaleSpanish

    Benenhaley, Leesa E, FNP ^99^

    NPI: 1386040129License: 95001100Gender: FemaleSpanishBrotherton, Anne N, FNP ^100^

    NPI: 1326467804License: 95000355Gender: FemaleSpanishDaoud, Nicole E, PA ^101^

    NPI: 1174999122License: 52674Gender: FemaleArabic, Farsi, French, SpanishGeissler, Jillian D, FNP ^102^

    NPI: 1780132324License: 95004952Gender: FemaleSpanish

    Hoeft, Jena N, PA ^103^

    NPI: 1912123811License: 17865Gender: FemaleSpanishJoorabchi, Nisa, FNP ^104^

    NPI: 1740633973License: 95007993Gender: FemaleKhalsa, Dalbir K, PA ^105^

    NPI: 1093803751License: 11671Gender: FemaleSpanishKomatsu, Judith, ANP ^106^

    NPI: 1346261005License: 21030Gender: FemaleSpanishLevine, Natalie E, FNP ^107^

    NPI: 1659803369License: 95006385Gender: FemaleLimper, Karyne, FNP ^108^

    NPI: 1881043842License: 95004374Gender: FemaleSpanishMoore, Jessicca L, NP ^109^

    NPI: 1891911707License: 15981Gender: FemaleSpanishNicol, Annie M, NP ^110^

    NPI: 1720010580License: 5376Gender: FemaleSpanishOrtega, Marina, PA ^111^

    NPI: 1316309438License: 53304Gender: FemaleSpanish

  • Page 27 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Palma, Lynne Dee, FNP ^112^

    NPI: 1306285697License: 283362Gender: FemaleSpanishPeyton, Krista J, PA-C ^113^

    NPI: 1184683682License: 17199Gender: FemalePineda, Christina H, ANP ^114^

    NPI: 1407198658License: 95000758Gender: FemaleSpanishPlaschke, Svitlana, FNP ^115^

    NPI: 1124534920License: 95006908Gender: FemaleRussian, UkrainianPowell, Hilary R, PA ^116^

    NPI: 1528213543License: 20066Gender: FemaleSpanishPycard, Randa Aleasha, FNP ^117^

    NPI: 1851809529License: 95008689Gender: FemaleRehder, Megan, FNP ^118^

    NPI: 1386013274License: 95007093Gender: FemaleRomero, Whitney L, ANP ^119^

    NPI: 1588993927License: 95005074Gender: FemaleUpton, Sean R, NP ^120^

    NPI: 1205162450License: 21582Gender: FemaleSpanish

    Williams, Lauren A, PA-C ^121^

    NPI: 1437563624License: 51649Gender: FemaleSpanishWong, Melissa K, NP ^122^

    NPI: 1790184075License: 95001163Gender: FemaleSpanish

    Special Accommodations: Adj. Exam Tables

    Point Arena

    Redwood Coast Medical Services ^123^

    Point Arena Community Health CenterPCP PHC#: 22862-0009

    NPI: 1275778847RHCFamily MedicineAccepting New Patients

    No Age LimitationsCHDP ProviderAssigned Hospital: Mendocino Coast District Hospital

    30 Mill StPoint Arena, CA 95468, EB,E

    Level of Access: LimitedSkilled Medical Interpreter ServicePrimary Phone: (707) 882-1704Primary Fax: (707) 882-2667www.rcms-healthcare.orgMon - Wed 9:00 AM - 4:30 PM

    Family MedicineBertolli, Thomas A, MD ^124^

    Family MedicineNPI: 1811089717License: A38824Gender: MaleFoorohar, Afsoon, DO ^125^

    NPI: 1962897645License: 20A14940Gender: FemaleKal, Mark P, MD ^126^

    Family MedicineNPI: 1316937931License: G56821Gender: Male

    Brittell, Barbara M, PA-C ^127^

    NPI: 1053432971License: 20760Gender: FemaleEwing, Harold J, PA-C ^128^

    NPI: 1811067317License: 12967Gender: MaleFalk, Lois Richardson, NP ^129^

    NPI: 1346332335License: 2525Gender: Female

    Special Accommodations: Adj. Exam Tables, Scales that weigh up to 400lbs

    http://www.rcms-healthcare.org

  • Page 28 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Point Reyes

    Point Reyes Community Health Center ^130^

    Coastal Health AlliancePCP PHC#: 10747-0017

    NPI: 1053420844FQHCFamily MedicineAccepting New Patients

    No Age LimitationsCHDP ProviderAssigned Hospital: Marin General Hospital

    3 Sixth StPoint Reyes, CA 94956 Skilled Medical Interpreter ServicePrimary Phone: (415) 663-8666Primary Fax: (415) 663-9532Mon - Sat 9:00 AM - 5:00 PM

    Family MedicineKlapman, Gabriel H, MD ^131^

    Family MedicineNPI: 1316280985License: A133164Gender: MaleMunich, Edwin S, MD ^132^

    Family MedicineNPI: 1770556805License: A65696Gender: MaleO'Malley, Anna Kristina, MD ^133^

    Family MedicineNPI: 1447459185License: A100464Gender: Female

    Holzer, Diane Rene, PA ^134^

    NPI: 1023168879License: 13354Gender: FemaleSpanishManulkin, Stephanie E, FNP ^135^

    NPI: 1508280595License: 95000298Gender: FemaleSpanishMendenhall, Ann M, PA-C ^136^

    NPI: 1316320682License: 52613Gender: Female

    Special Accommodations: Adj. Exam Tables, Hearing Impaired Accommodations, Gurney Accommodations, Scales that weigh up to 400lbs

    Point Reyes Community Health Center ^137^

    Coastal Health AlliancePCP PHC#: 22855-0006

    NPI: 1053420844FQHCFamily MedicineAccepting New Patients

    No Age LimitationsCHDP ProviderAssigned Hospital: Marin General Hospital

    3 Sixth StPoint Reyes, CA 94956 Skilled Medical Interpreter ServicePrimary Phone: (415) 663-8666Primary Fax: (415) 663-9532Mon - Sat 9:00 AM - 5:00 PM

    Family MedicineMunich, Edwin S, MD ^138^

    Family MedicineNPI: 1770556805License: A65696Gender: Male

    Chase, Carolyn R, FNP ^139^

    NPI: 1811024599License: 9465Gender: FemaleSpanishHolzer, Diane Rene, PA ^140^

    NPI: 1023168879License: 13354Gender: FemaleSpanishManulkin, Stephanie E, FNP ^141^

    NPI: 1508280595License: 95000298Gender: FemaleSpanish

    Special Accommodations: Adj. Exam Tables, Hearing Impaired Accommodations, Gurney Accommodations, Scales that weigh up to 400lbs

    Rohnert Park

    Annadel Medical Group ^142^

    PCP PHC#: 38581-0001

    NPI: 1871607762Internal MedicineAccepting Existing Patients

    19 Years and Older

    1450 Medical Center Dr Ste 3ARohnert Park, CA 94928

  • Page 29 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Primary Phone: (707) 387-3925Primary Fax: (707) 387-3064Mon - Fri 8:00 AM - 5:00 PM

    Internal MedicineMorse, Jonathan M, MD ^143^

    NPI: 1265461784License: G81437Gender: Male

    Special Accommodations: Adj. Exam Tables, Scales that weigh up to 500lbs

    Kaiser Permanente - Rohnert Park Medical Offices ^144^

    PCP PHC#: 19707-0001

    NPI: 1548343510Family Medicine, Internal Medicine, PediatricsAccepting Existing Patients

    No Age LimitationsAssigned Hospital: Kaiser Permanente Medical CenterRohnert Park Residents Only

    5900 State Farm DrRohnert Park, CA 94928 Primary Phone: (707) 206-3044www.kp.orgMon - Fri 8:30 AM - 5:00 PM

    Special Accommodations: Adj. Exam Tables, Hoyer Lift, Special Scales For Wheelchairs, Scales that weigh up to 500lbs

    To locate a Kaiser doctor, contact Kaiser Member Services at 800-464-4000 or browse Kaiser's Online Provider Directory: healthy.kaiserpermanente.org/

    northern-california/doctors-locations#/sea

    Rohnert Park Health Center ^145^

    Petaluma Health CenterPCP PHC#: 35718-0005

    NPI: 1669870739FQHCFamily Medicine, Internal Medicine, PediatricsAccepting New Patients

    No Age LimitationsCHDP Provider

    5900 State Farm Dr Ste 200Rohnert Park, CA 94928, P,EB,IB,R,E,T

    Level of Access: BasicPrimary Phone: (707) 559-7600Primary Fax: (707) 559-7620Mon - Fri 8:00 AM - 6:00 PMSat 8:00 AM - 2:00 PM

    Family MedicineAshcroft, Andrew B, MD ^146^

    Family MedicineNPI: 1053306795License: A96865Gender: MaleSpanishHospital Privileges: Petaluma Valley HospitalAthale, Ninad Ravindra, MD ^147^

    Family MedicineNPI: 1619124864License: A108914Gender: MaleSpanishHospital Privileges: Queen of the Valley Medical Center

    Baylor, Anna L, MD ^148^

    Family MedicineNPI: 1538218433License: G72855Gender: FemaleButts, Carmen G, MD ^149^

    Family MedicineNPI: 1457671315License: A121221Gender: FemaleSpanishChen, Iun-Iu A, DO ^150^

    NPI: 1114288412License: 20A14310Gender: FemaleSpanishChi, Carlin L, MD ^151^

    Family MedicineNPI: 1497843122License: A71794Gender: FemaleSpanishChoe, Jonathan Y, MD ^152^

    Family MedicineNPI: 1518959170License: A80237Gender: MaleSpanishHospital Privileges: Petaluma Valley HospitalFinnemore, Rebecca, MD ^153^

    Family MedicineNPI: 1023214467License: A105589Gender: FemaleGerman, SpanishHospital Privileges: Petaluma Valley Hospital

    http://www.kp.orghttps://healthy.kaiserpermanente.org/northern-california/doctors-locations#/seahttps://healthy.kaiserpermanente.org/northern-california/doctors-locations#/sea

  • Page 30 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    Gomez-Mira, Christina, MD ^154^

    Family MedicineNPI: 1356734859License: A134563Gender: FemaleFrench, SpanishGreer, Karl A, MD ^155^

    Family MedicineNPI: 1396010740License: A127109Gender: MaleSpanishHospital Privileges: Sutter Santa Rosa Regional HospitalHameed, Fasih A, MD ^156^

    Family MedicineNPI: 1417083031License: A96814Gender: MaleSpanishHospital Privileges: Petaluma Valley HospitalIutzi, Cassie J, MD ^157^

    Family MedicineNPI: 1053756346License: A133772Gender: FemaleSpanishLally, Patrick J, MD ^158^

    Family MedicineNPI: 1427480185License: A126768Gender: MaleHospital Privileges: Petaluma Valley HospitalLeighton, Lynette E, MD ^159^

    Family MedicineNPI: 1184875056License: A104902Gender: FemaleSpanish

    Licht, Nurit, MD ^160^

    Family MedicineNPI: 1477545176License: A90977Gender: FemaleHebrew, SpanishHospital Privileges: Petaluma Valley HospitalLossy, Panna Susan, MD ^161^

    Family MedicineNPI: 1679670673License: G80810Gender: FemaleSpanishOryn, Danielle E, DO ^162^

    Family Medicine Neuromusculoskeletal Medicine &

    Osteopathic Manipulative Medicine

    NPI: 1376535070License: 20A8962Gender: FemaleSpanishHospital Privileges: Petaluma Valley HospitalPearson, Lisa F, MD ^163^

    Family MedicineNPI: 1083894802License: A93483Gender: FemalePendleton, John D, MD ^164^

    Family MedicineNPI: 1326030024License: A91072Gender: MaleSpanishHospital Privileges: Petaluma Valley Hospital

    Ramirez, Toni M, MD ^165^

    Family MedicineNPI: 1518303155License: A132396Gender: FemaleSpanishSandhu, Amrita, DO ^166^

    Family Medicine Neuromusculoskeletal Medicine &

    Osteopathic Manipulative Medicine

    NPI: 1043542087License: 20A11047Gender: FemaleHindi, Punjabi, SpanishShaw, Emily C, MD ^167^

    Family MedicineNPI: 1851616569License: A118323Gender: FemaleSpanishUllal, Ashmi S, MD ^168^

    Family MedicineNPI: 1073803722License: A133351Gender: FemaleSpanishWilliams, Victoria L, DO ^169^

    Family MedicineNPI: 1659705564License: 20A14008Gender: FemaleSpanish

    Internal MedicineEdouard, Philippe R, MD ^170^

    Internal MedicineNPI: 1124029491License: C51257Gender: MaleFrench, SpanishHospital Privileges: Petaluma Valley Hospital

  • Page 31 of 148

    To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 14 for a description of codes: P EB IB R E T

    Revised Date: May 25, 2018

    PHC PRIMARY CARE PROVIDERS

    SONOMA COUNTY DIRECTORY

    PediatricsConnick, Megan, MD ^171^

    Pediatric Infectious Diseases PediatricsNPI: 1104841576License: G141047Gender: FemaleSpanishShende, Urmila A, MD ^172^

    PediatricsNPI: 1225141245License: A60391Gender: FemaleSloan, Mark P, MD ^173^

    PediatricsNPI: 1063596054License: G48394Gender: MaleSpanish

    Benenhaley, Leesa E, FNP ^174^

    NPI: 1386040129License: 95001100Gender: FemaleSpanishBrotherton, Anne N, FNP ^175^

    NPI: 1326467804License: 95000355Gender: FemaleSpanishDaoud, Nicole E, PA ^176^

    NPI: 1174999122License: 52674Gender: FemaleArabic, Farsi, French, SpanishHoeft, Jena N, PA ^177^

    NPI: 1912123811License: 17865Gender: FemaleSpanish

    Joorabchi, Nisa, FNP ^178^

    NPI: 1740633973License: 95007993Gender: FemaleKhalsa, Dalbir K, PA ^179^

    NPI: 1093803751License: 11671Gender: FemaleSpanishKomatsu, Judith, ANP ^180^

    NPI: 1346261005License: 21030Gender: FemaleSpanishLevine, Natalie E, FNP ^181^

    NPI: 1659803369License: 95006385Gender: FemaleLimper, Karyne, FNP ^182^

    NPI: 1881043842License: 95004374Gender: FemaleSpanishMoore, Jessicca L, NP ^183^

    NPI: 1891911707License: 15981Gender: FemaleSpanishNicol, Annie M, NP ^184^

    NPI: 1720010580License: 5376Gender: FemaleSpanishOrtega, Marina, PA ^185^

    NPI: 1316309438License: 53304Gender: FemaleSpanishPalma, Lynne Dee, FNP ^186^

    NPI: 1306285697License: 283362Gender: FemaleSpanish

    Pineda, Christina H, ANP ^187^

    NPI: 1407198658License: 95000758Gender: FemaleSpanishPlaschke, Svitlana, FNP ^188^

    NPI: 1124534920License: 95006908Gender: FemaleRussian, UkrainianPowell, Hilary R, PA ^189^

    NPI: 1528213543License: 20066Gender: FemaleSpanishPycard, Randa Aleasha, FNP ^190^

    NPI: 1851809529License: 95008689Gender: FemaleRehder, Megan, FNP ^191^

    NPI: 1386013274License: 95007093Gender: FemaleRomero, Whitney L, ANP ^192^

    NPI: 1588993927License: 95005074Gender: FemaleUpton, Sean R, NP ^193^

    NPI: 1205162450License: 21582Gender: FemaleSpanishWilliams, Lauren A, PA-C ^194^

    NPI: 1437563624License: 51649Gender: FemaleSpanishWong, Melissa K, NP ^195^

    NPI: 1790184075License: 95001163Gender: Fema